Brief Answer:
UNOS and the List, some info

Detailed Answer:
Hi XXXXXXX Let me first start by answering your immediate questions first. then I will try and give you some information on the transplant list in general.

1) UNOS (United Network for Organ Sharing) is the keeper and manager of the national list. But you can have your name on the list from multiple centers. So you increase your odds of finding a kidney if you apply from a few transplant hospitals.

2) You will have to undergo a full physical with blood work and history taking from each center you apply at.

Now, a bit about the list:

For most transplant candidates, the first step in receiving a transplant is to get on the OPTN/UNOS national transplant waiting list. All transplant candidates who do not have the option of a living donor (and even some who do) usually wait for some length of time because there are not enough donor organs for all who need them.

The National Waiting List: The waiting list is a computer database that contains medical information on every person who is waiting for any type of organ transplant in the U.S. and Puerto Rico. You will not have a number ranking for transplant based on all the other persons who are waiting for your organ. You also will not move up or down each time someone receives a transplant.

Here are the necessary steps to get on the national waiting list:

1) Your physician must give you a referral.

2) Contact a transplant hospital. Learn as much as possible about the 200+ transplant hospitals in the United States and choose one based on your needs, including insurance, location, finances and support group availability.

3) Schedule an appointment for an evaluation and find out if you are a good candidate for transplant.

4) During the evaluation, ask questions to learn as much as possible about that hospital and its transplant team.

5) If the hospital's transplant team determines that you are a good transplant candidate, they will add you to the national waiting list.

UNOS will NOT notify you when you have been added to the list. Your transplant hospital will notify you within 10 days to inform you about your date of listing. If you have questions about your status on the list, you should ask the team at your transplant hospital.

I Hope this helps. I wish you the best of luck. Feel free to ask any follow-up questions in regard to this or anything else.

Vin

---

Brief Answer:
Labs show chr renal failure and electrolyte issues

Detailed Answer:
Hi XXXXXXX Thanks for following up. I went over the uploaded records. They seem to show me the reason as to why you need to be on the list. I am sure you have a great nephrologist to manage these things. But i just want to give you a bit of a warning about the electrolyte issues.

You need to be rather careful about eating anything with high amounts of Potassium or Phosphorus in them. Your kidney is having trouble getting rid of that stuff and if it builds up that can lead to muscle spasms and XXXXXXX horses etc.

A good dietician can build you a "Renal Diet Plan", you just need to stick to it rather religiously.

I hope this helps. Take care. Feel free to follow-up

Vinay

---